I am looking for a code for a provider that did a incision and dissection of a sebaceous cyst on a persons scalp. Cyst size was 4 cm by 3 cm. Incision size 1.5 at the top of the cyst, no margins. This was done after an injection of lidocaine subdermal. Can you please advise me as to how to code this properly?
A sebaceous cyst is a closed sac under the skin filled with a cheese-like or oily material.
The procedure you are describing is an incision and drainage procedure and this would most appropriately be reported with: 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
Description of 10060: The physician makes a small incision through the skin overlying an abscess for incision and drainage (e.g., carbuncle, cyst, furuncle, paronychia, hidradenitis). The abscess or cyst is opened with a surgical instrument, allowing the contents to drain. The lesion may be curetted and irrigated. The physician leaves the surgical wound open to allow for continued drainage. For complicated or multiple cysts in 10061, the physician may place a Penrose latex drain or gauze strip packing to allow continued drainage. Complicated cysts may require later surgical closure. Report 10060 for incision and drainage of a simple or single abscess.